Clinical Coverage/Medical Policy Updates
WellCare of North Carolina updates a select number of clinical coverage policies each month, ensuring the reviewal of all policies on an annual basis.
Policy Updates
- WNC.CP.102 Family Planning Service (PDF)
- WNC.CP.114 Enhanced Mental Health and Substance Abuse Services (PDF)
- WNC.CP.116 Facility Based Crisis Service for Children and Adolescents (PDF)
- WNC.CP.117 Outpatient Behavioral Health Services Provided by Direct-Enrolled Providers (PDF)
- WNC.CP.152 Polymerase Chain Reaction Respiratory Viral Panel Testing (PDF)
- WNC.CP.126 Urinary Incontinence Devices and Treatments (PDF)
- WNC.CP.135 Homocysteine Testing (PDF)
- WNC.CP.162 Hyperhidrosis Treatments (PDF)
- WNC.CP.163 NICU Discharge Guidelines (PDF)
- WNC.CP.164 NICU Apnea Bradycardia Discharge Guidelines (PDF)
- WNC.CP.167 Neonatal Sepsis Management (PDF)
- WNC.CP.168 Neonatal Abstinence Syndrome Guidelines (PDF)
- WNC.CP.173 Testing for Select Genitourinary Conditions (PDF)
- WNC.CP.189 Rhinoplasty and or Septoplasty (PDF)
- WNC.CP.212 Diagnostic Assessment (PDF)
- WNC.CP.222 Skin Substitutes (PDF)
- WNC.CP.231 Peer Support Services (PDF)
- WNC.CP.257 Special Ophthalmological Services (PDF)
- WNC.CP.259 In Lieu of Services (PDF)
- WNC.CP.269 Gastrointestinal Pathogen Nucleic Acid Detection Panel Testing (PDF)
- WNC.CP.277 Opioid Treatment Program Service (PDF)
- WNC.CP.291 Outpatient Specialized Therapies (PDF)
- WNC.CP.299 Cell and Gene Therapies (PDF)
- WNC.CP.300 Casgevy Pharmacy Prior Approval Criteria (PDF)
- WNC.CP.301 Lyfgenia Pharmacy Prior Approval Criteria (PDF)
- WNC.CP.302 Zolgensma Pharmacy Prior Approval Criteria (PDF)
- WNC.CP.119 Cochlear and Auditory Brainstem Implant External Parts Replacement and Repair (PDF)
- WNC.CP.158 Experimental Technologies (PDF)
- WNC.CP.193 Telehealth Virtual Communications and Remote Patient Monitoring (PDF)
- WNC.CP.226 Sterilization Procedures (PDF)
- WNC.CP.276 Hearing Aid Services in Adult Members Aged 21 and older (PDF)